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Individual

DR. MARK ANDREW WELTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPCC-S

Contact information

Practice address
204 2ND ST NE, NEW PHILADELPHIA, OH 44663-2808
(234) 801-2469
(330) 364-9212
Mailing address
PO BOX 670, ZOAR, OH 44697-0670
(330) 704-6998

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
E-0001965
OH
101YM0800X
Mental Health Counselor
E-0001965
OH
101YP2500X
Professional Counselor
Primary
E-0001965
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0156240
OH
Enumeration date
04/02/2007
Last updated
11/05/2018
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